CSA Z8000-2018 Canadian health care facilities.
This Standard is structured to follow a consistent, modular approach to HCF design. It can apply to the development of an entire HCF or to components within a HCF that are undergoing renovation or new construction. This Standard is organized as follows:
a) Clauses 1 to 3 — Scope, reference publications, and definitions.
b) Clause 4 — Provides the overarching principles, general requirements, and guidance that apply to all areas of a HCF that is being developed or renovated, such as general program considerations, operations, environment of care, safety and security, infection prevention and control, and
c) Clause 5 — Planning process, outlines the key planning considerations early in the design/ construction process recognizing the variability of factors that would impact the service delivery models. This Clause specifically addresses pre-design planning, design, construction, building
commissioning, and operational commissioning.
d) Clause 6 — Site and facility development, reviews the key generic external considerations for site development and building development. It also highlights the critical functional adjacencies within a HCF, both for clinical and support services.
e) Clause 7 — General functional service requirements, outlines the generic design and construction considerations as they relate to the overall functioning of a HCF, including building services requirements, environmental considerations, infection prevention and control, materials and
finishes, occupational health and safety, safety and security, technology considerations, furniture, fittings, and equipment.
f) Clause 8 — Inpatient and related services, highlights the specific key requirements for inpatient areas, and in some cases for outpatient facilities that are part of a continuum of care. These areas include
i) medical surgical inpatient;
ii) critical care;
iii) maternal and newborn;
iv) mental health services;
v) pediatric and adolescent inpatient;
vi) rehabilitation care;
vii) burn units;
viii) complex care; and
ix) long-term care.
The list of functional service areas is not meant to be exhaustive.
g) Clause 9 — Diagnostic and treatment functional service requirements, highlights specific key
requirements for diagnostic/treatment functional services. These include
i) general requirements for diagnosis and treatment spaces;
ii) ambulatory care;
iii) operative procedure and surgical services;
iv) renal dialysis;
v) oncology;
vi) endoscopy;
vii) emergency care;
viii) allied health;
ix) electrodiagnostics;
x) respiratory services;
xi) medical imaging;
xii) laboratory services; and
xiii) pharmacy.
h) Clause 10 — Support functional service requirements, highlights supporting services within a HCF including biomedical engineering, environmental services, nutrition and food services, materials management, plant maintenance, security and parking, and medical device reprocessing.
i) Clause 11 — Common requirements, provides a table of common spaces across a HCF and, where appropriate, it provides minimum sizes for these areas.
j) Clause 12 — Building services and environmental design, gives an overview of the engineering and architectural systems that are specific to HCFs.
CSA Z8000 pdf download.